Rehabilitation and Therapy Commons^™

Optimal Frequency Intensity Of Physical Activity To Reduce The Risk Of Hypertension In The Korean Population, Jang Won Son, Sukho Lee, Minsoo Kang, Yun A. Shin, Jae Hyun Kim

Faculty and Student Publications

PURPOSE: Regular physical activity (PA) is an effective lifestyle modification for preventing hypertension. This study aimed to analyze the optimal frequency of PA required to reduce the incidence of hypertension in the Korean population. Most Korean studies have included only small samples and limited age ranges. METHODS: The present study analyzed 16,299,865 participants aged ≥20 years (44.25±12.74 years) from the 2009 to 2012 Korean National Health Insurance Corporation Survey database. The International Physical Activity Questionnaire was used to assess the frequency and intensity of physical activity. Hazard ratios for incident hypertension were analyzed by physical activity participation, age, and sex …

Use Of Real-Time Cadence To Prescribe Aerobic Physical Activity Intensity And Its Comparison With Existing Methods, Heontae Kim, Wei Sun, Mary Malaska, Bridget Miller, Ho Han

Faculty and Student Publications

The purpose of this study was to determine the effectiveness of physical activity intensity prescription using real-time cadence on achieving the required intensities for health benefits. Forty adults (18–65 years) participated in the study. The intensity prescriptions included Rating of Perceived Exertion, Talk Test, Heart Rate, and Real-Time Cadence. The participants performed a2-min trial for both moderate- and vigorous-intensity according to each prescription. Atri-axial accelerometer was used as acriterion measure. After completion of the trials, participant’s preference for the prescriptions was assessed by three domains (e.g., understanding, performing, maintaining). The compliance and achievement rates of RC were calculated and compared …

Andragogy And Leadership Development In Entry-Level Doctoral Occupational Therapy Education, Tracey Elaine Recigno

Dissertations and Theses

Leadership development is critical for occupational therapy practitioners to be effective in their varied roles and ultimately is necessary for the sustainability of the occupational therapy profession. Occupational therapy education needs to be the starting point for developing a leadership identity. Best practices in leadership development require that experiences are contextualized and provide opportunities for active learning and reflective practices, yet there is minimal research to understand how occupational therapy educators teach this concept. This dissertation sought to first describe leadership development in occupational therapy and then describe how occupational therapy educators approach leadership education using adult learning principles. The …

Evolution Of Level I Fieldwork During An International Pandemic: Students’ Perceptions Of The Effectiveness Of Virtual Simulation-Based Level I Fieldwork, Rebecca Ozelie, Shiori Domenighetti, Amanda Sugar, Samantha Conrad

Journal of Occupational Therapy Education

Fieldwork education is an essential component of occupational therapy (OT) curriculum; yet national shortages and the COVID-19 pandemic have affected fieldwork availability. To combat the shortage, some academic programs implemented simulation-based Level I fieldwork experiences. The objective of this research study was to compare the perceived knowledge, confidence, and attitude of OT students that completed a virtual simulation-based Level I fieldwork to those that completed a traditional Level I fieldwork. This study involved a sample of 26 doctorate of OT students that completed a traditional or virtual simulation-based Level I fieldwork. Students completed pre-and-post fieldwork surveys regarding their perceived knowledge, …

“I Had To Adapt To Continue Being A Student To The Best Of My Ability”: Identifying Occupational Therapy Students’ Processes Of Adapting To Academic Disruption, Laura H. Vanpuymbrouck, Linda M. Olson

Journal of Occupational Therapy Education

In the wake of COVID-19, practitioners, educators, and students had to shift to virtual interactions while experiencing significant unknowns and valid fears. This project describes the lived experiences of 37 occupational therapy students who lived through this international pandemic examining their reflections of how occupational therapy theories and models of practice could inform approaches to adapt to the changing context of their lives. Narratives of students collected as part of routine educational assessments in an introduction to occupational therapy theory course were examined using methods of content analysis to understand the perspectives of students’ needs, supports, and mechanisms of adaption …

An Exploration Of The Occupational Therapy Doctoral Capstone: Perspectives From Capstone Coordinators, Graduates, And Site Mentors, Anne F. Kiraly-Alvarez, Autumn Clegg, Whitney Lucas Molitor, Danielle Friberg

Journal of Occupational Therapy Education

Few studies have investigated entry-level doctoral capstone outcomes regarding how the experience and project relate to employment opportunities. This descriptive study reports various stakeholders’ perspectives regarding the entry-level occupational therapy doctoral (OTD) capstone in relation to employment opportunities and awareness of the profession. Authors disseminated a nationwide survey to doctoral capstone coordinators, entry-level OTD graduates, and capstone site mentors. Ten doctoral capstone coordinators, 68 OTD graduates, and 22 capstone site mentors responded to the survey. Collectively, doctoral capstone coordinators reported that 117 OTD graduates obtained employment in a setting related to the focus of their doctoral capstone and gave examples …

Service-Learning And Case-Based Learning’S Impact On Student’S Clinical Reasoning: A Repeated Measures Design Study, Gordon B. Tsubira, Traci Garrison, Sapna Chakraborty, Shana Cerny

Journal of Occupational Therapy Education

Clinical reasoning is crucial for the occupational therapy profession to thrive in an ever-changing healthcare environment but is seldom isolated for explicit instruction and outcome measurement in educational course curricula. A single-factor repeated measures design study was conducted to compare the impact of didactic case-based learning and experiential service-learning on the development of the clinical reasoning of students at a midwestern public university’s entry-level Master of Occupational Therapy program. The participants were sixteen graduate occupational therapy students who had completed their foundation-level courses. Participants explored modes of clinical reasoning in occupational therapy for eight weeks (the first half of the …

Validation Of Objective Structured Clinical Examination (Osce) Based On The Occupational Therapy Practice Framework (Otpf): A Pilot Study, Marzieh Pashmdarfard, Afsoon Hassani Mehraban, Narges Shafaroodi, Kamran Soltani Arabshahi, Soroor Parvizy, Akram Azad, Samaneh Karamali Esmaeili

Journal of Occupational Therapy Education

Fieldwork education is an integral part of the educational process in occupational therapy and assessing student competency at the end of fieldwork is important. The aim of this study was to design and conduct an Objective Structured Clinical Examination (OSCE) based on the Occupational Therapy Practice Framework (OTPF) for occupational therapy students on Level II fieldwork in Iran. A seven-station OSCE was designed and conducted with 13 students. Face and content validity of the exam scenarios and grading checklists was assessed via faculty review. The correlation between scores from each station and total OSCE scores were obtained to assess construct …

The Impact Of A Psychosocial-Focused Experiential Learning Activity On Occupational Therapy Students’ Perceived Clinical Reasoning, Molly Bathje, Kristi Escobar, Meghan Crisp, Catherine Killian, Charlotte Royeen

Journal of Occupational Therapy Education

A primary objective of occupational therapy education is to facilitate development of clinical reasoning skills. These skills are complex and difficult to cultivate in classroom settings, therefore educators often use experiential learning activities to support clinical reasoning development. Most of the literature about experiential learning activities aimed at developing clinical reasoning focuses on activities occurring in-person, with individuals in physical disabilities settings. This research addresses the gap in the literature by evaluating the impact of a group based, psychosocial focused experiential learning activity that occurred virtually and in-person on entry-level occupational therapy students’ perceived clinical reasoning. Students (n=36) …

Community-Based Ot Program Planning: A Virtual Level Ii Fieldwork Program Developed In Response To The Global Pandemic, Tara Collins, Virginia E. Koenig, Stephanie J. Wong, Michelle Buccinna, Rena B. Purohit, Shifra K. Leiser, Debra Cullinane

Journal of Occupational Therapy Education

The purpose of this article is to explain how an occupational therapy (OT) program in a university setting developed a virtual Level II community-based fieldwork program in response to the COVID-19 global pandemic. This virtual fieldwork program, guided by the PRECEDE-PROCEED Planning Model (PPM), was designed to help keep students on track with their academic goals while providing them with experiential learning that would increase their confidence in OT program planning and promote their professional development. Outcome measures for this study consisted of a pre-and post-fieldwork survey that asked participants to rank their self-perceived confidence in five distinct areas of …

Active Learning And Occupational Therapy Theory: A Mixed Methods Study Of A Course Redesign, Mackenzie L. Feldhacker, Diana R. Feldhacker

Journal of Occupational Therapy Education

The use of theory to guide practice is what distinguishes an occupational therapist’s professional judgment and reasoning from simply technical skills. However, occupational therapists continue to lack confidence and skills in understanding application of theory to inform practice. Thus, effective course design related to theory is imperative in professional formation. This study assessed the effectiveness of a graduate-level occupational therapy theory course redesigned using andragogical, learner-centered, and active learning principles to address gaps in applying and understanding theory. A mixed methods retrospective cohort design was utilized. This included a pretest/post-test survey along with end-of-semester course and instructor evaluation. Eighty-four students …

Improving Empathy Of Occupational Therapy Students Through Reading Literary Narratives, Cavenaugh Kelly

Journal of Occupational Therapy Education

This study explored the impact of teaching empathy to occupational therapy students through the close reading of literary narratives. The study defined empathy as a dynamic process involving Theory of Mind (ToM), emotional resonance, and empathy as a willful act. Empathy is an espoused value of occupational therapy challenged by the modern demands of the market-driven health care system, and research suggests reading literary narratives, or stories with qualities of literature, facilitates greater empathy. Prior studies have also indicated that practicing with greater empathy improves health outcomes and makes occupational therapy sessions more client centered. In this study, a quasi-experimental …

A Process Framework For The Education-Focused Capstone: Supporting Expansion And Sustainable Outcomes, Sierra Clair, Sarah Corcoran, Emily Bubel, Debbie Amini

Journal of Occupational Therapy Education

This article aims to share a process framework created to guide entry-level occupational therapy doctoral programs in operationalizing and expanding the scope of the education-focused capstone described by the Accreditation Council for Occupational Therapy Education (ACOTE^®).The impetus for this work was the completion of a professional development, education-focused capstone that proved to be novel, sustainable, and transformative for the capstone team, including the student, faculty mentor, site mentor, and doctoral capstone coordinator. This capstone ultimately created a professional development course covering the social determinants of health for occupational therapy practitioners, now offered through the American Occupational Therapy Association. …

Cohort Analysis Of Four Graduating Classes Of Occupational Therapy Students' Knowledge Of Aging, Lavona Traywick, Brittany N. Saviers, Terry Wayne Griffin, Teressa Brown

Journal of Occupational Therapy Education

At the same time that the number of senior adults in the United States is steadily rising, there is also a rising shortage of allied health care professionals, including occupational therapists, to meet the current and expected needs of the senior adult population. There are national standards that all occupational therapy programs must meet; however, there is not a set national curriculum. It is assumed that students will enter their respective occupational therapy programs with a base knowledge of aging due to prerequisite requirements. To test that assumption, with Institutional Review Board approval, over four consecutive years 192 first-year, first-semester …

Core Competency-Related Professional Behaviors During Patient Encounters: A Report From The Association For Athletic Training Education Research Network, Cailee E. Welch Bacon, Julie M. Cavallario, Stacy E. Walker, Curtis Bay, Bonnie L. Van Lunen

Rehabilitation Sciences Faculty Publications

Context: To enhance the quality of patient care, it is important that athletic trainers integrate the components of the core competencies (CCs; evidence-based practice [EBP], patient-centered care [PCC], health information technology [HIT], interprofessional education and collaborative practice [IPECP], quality improvement [QI], professionalism) as a part of routine clinical practice. In what ways, if any, athletic training students (ATSs) are currently integrating CCs into patient encounters (PEs) during clinical experiences is unclear.

Objective: To describe which professional behaviors associated with the CCs were implemented by ATSs during PEs that occurred during clinical experiences.

Design: Multisite panel design.

Setting: A total of …

Doodling As Self-Expression: Building Self-Efficacy In Normally Functioning Adults, Journey Coward

Art Therapy | Theses and Dissertations

While previous studies identify doodling as a useful educational tool, this study sought to determine if doodling can build creative or emotional self-efficacy. Self-efficacy is an individual’s belief in their own capacity to express behaviors necessary to attain specific performance goals. The current study also sought to determine if doodling can be a form of self-care. Research collected was quantitative and qualitative using surveys to measure both creative and emotional self-efficacy along with a doodling activity. Ten participants were recruited through convenience sampling on social media and were included in the study after meeting the inclusion criteria of identifying themselves …

Impact Of Motivations For Volunteering On Well-Being Among Health Sciences Students, Allison J. Naber, Rebecca Benson, Katie Ericsson, Macey Genzlinger

Journal of Occupational Therapy Education

Motivations for volunteering as a meaningful occupation can influence well-being. This study explored the relationship between motivations for volunteering and perceived well-being among students enrolled in one of ten departments in a School of Health Sciences. A cross-sectional survey incorporating the RAND 36-Item Short Form Survey and Volunteer Function Inventory was employed. Most of the 95 participants were students enrolled in the health science undergraduate and occupational therapy graduate programs. Approximately 75% had volunteered in the past year. RAND SF-36 findings indicated good perceived well-being among many categories. Primary motivations for volunteering included values (Mdn = 30) and understanding …

Seltec: Service And Experiential Learning Through Engagement In The Community: A Level I Fieldwork Model: Part 2, Amanda J. Mohler, Andrea B. Brown

Journal of Occupational Therapy Education

The SELTEC model of Level I fieldwork was developed and published in 2020. The SELTEC model combines service and experiential learning to benefit student learners, the educational system, and the community. The purpose of the study was to determine students’ perceptions of a SELTEC model experience compared to a traditional Level I fieldwork experience. The research team administered a 24-item survey to thirty students who participated in the study. All participants received both a traditional one-week and SELTEC level I fieldwork experience during their occupational therapy education at Arkansas State University. Seventy-nine percent (n=23) of the respondents selected the SELTEC …

“We Weren’T Taught How To Recover From A Pandemic:” Recent Occupational Therapy Graduates’ Reflections On Covid-19, Laura H. Vanpuymbrouck, Carli Friedman

Journal of Occupational Therapy Education

In the spring of 2020, graduates from occupational therapy (OT) programs across the globe were entering a world of clinical unknowns. The students from this graduating cohort likely had little to no education or training on how to deliver OT in the wake of COVID-19. How well prepared did these new graduates perceive themselves to be to enter a healthcare climate in a pandemic and what were their biggest concerns? The objective of this study was to understand new graduates’ perspectives of the impact of COVID-19 on their future as occupational therapy practitioners (OTPs), and their sense of preparedness to …

Changes In Study Approaches, Self-Efficacy, And Mental Health In Allied Healthcare Students During The Covid-19 Crisis, Elaina J. Dalomba, Tore Bonsaksen, Mary Jan Greer, Saji Mansur

Journal of Occupational Therapy Education

There is growing concern about student mental health, particularly during the COVID-19 crisis. Mental health factors impact self-efficacy and study behaviors, thus there is a need to explore changes in these factors during the pandemic. The aim of this study was to explore changes in allied healthcare students’ approaches to studying, self-efficacy and positive mental health before and during the COVID-19 crisis. The Approaches and Study Skills Inventory for Students, General Self-efficacy scale, Mental Health Continuum – Short Form were given to graduate students (n=26) prior to, and one year into the pandemic. Repeated measures analyses of variance were performed. …

Level I Fieldwork Using Simulation: Student Performance Outcomes And Perceptions, Nicole C. Harris, Sarah Nielsen, Marilyn G. Klug

Journal of Occupational Therapy Education

The purpose of this study was to examine students’ perceptions and performance outcomes of a virtual fieldwork using Simucase® in conjunction with supplemental activities and debriefing opportunities. The simulation replaced Level I clinic-based fieldwork experiences that were cancelled due to COVID-19. Quantitative and qualitative data were collected using a modified evaluation tool to assess student performance outcomes and perceptions for students in the Year one Occupational Therapy Doctorate (OTD) cohort (n=57) and the Year two Master of Occupational Therapy (MOT) cohort (n=57) enrolled in a public university in the rural Midwest. Student ratings were compared using chi-square test of independence …

Changes In Epistemic And Ontological Cognition Of Occupational Therapy Students During Fieldwork: A Qualitative Study, Anita W. Mitchell, Lauren Woods

Journal of Occupational Therapy Education

The purpose of this study was to represent occupational therapy students’ perspectives of their beliefs about knowledge and knowing, or epistemic and ontological cognition (EOC), before and after their first level 2 fieldwork experience. Twenty participants from four classes of entry-level Master of Occupational Therapy (MOT) students who had successfully completed 18 months of didactic coursework provided written explanations of self-ratings on the modified Four-Quadrant Scale of Ontology and Epistemology and written responses to four open-ended questions. Four major themes emerged: 1) Concrete knowledge may have a specific right or wrong answer, 2) Knowledge can change depending on the client, …

Development And Content Validity Of The Personal-Professional Development Tool For Occupational Therapy Students During Community-Based Service Learning, Michaela Fraser, Pat Precin

Journal of Occupational Therapy Education

As community-based service-learning becomes more widely used in occupational therapy (OT) education, valid and reliable outcome measures are needed to ensure that student learning outcomes are meaningfully and consistently measured. Currently, educators may use instructor-developed questionnaires that have not been validated or employ narrowly focused or overly prescriptive surveys borrowed from other disciplines that may not fully capture the skills that are necessary for competent entry-level practice. Grounded in the Occupational Adaptation Model, the Personal-Professional Development Tool (PPDT) was developed to meet this need. The PPDT was designed as a non-normative, self-referential rating scale that OT students use to set …

The Effects Of Education With Healthcare Providers On Low Vision Assistive Devices And Their Ability To Improve Self-Care Skills, Lora L. Jester-Rains

Occupational Therapy Doctorate Capstone Projects

Background: Results of a study by Casten et al., (2005) confirmed low rates of use of devices and services for low vision by the older adult. Older adults with low vision are receptive to using low vision resources but are often unaware of them (Lighthouse International, 2021). Casten et al. (2005) further suggested that the lack of services or use of devices may be due to a lack of awareness of health care professionals. Low vision assistive devices (LVAD), whether high or low tech, or mainstream, can help maximize a client’s vision so that they can perform everyday tasks …

Characteristics Of Patient Encounters For Athletic Training Students During Clinical Education: A Report From The Aate Research Network, Cailee E. Welch Bacon, Julie M. Cavallario, Stacy E. Walker, R.Curtis Bay, Bonnie L. Van Lunen

Rehabilitation Sciences Faculty Publications

Context: To enhance the quality of patient care, athletic training students (ATSs) should experience a wide variety of clinical practice settings, interact with diverse patient populations, and engage with patients that have a wide variety of conditions. It is unclear in what ways, if any, ATSs have diverse opportunities during clinical experiences.

Objective: To describe the characteristics of patient encounters (PEs) ATSs engage in during clinical experiences. Design: Multi-site, panel design.

Setting: 12 professional athletic training programs (ATPs; 5 Bachelor, 7 Master's).

Patients or Other Participants: 363 ATSs from the ATPs that used E*Value software to document PEs during clinical …

Content Validation Of The Athletic Training Milestones: A Report From The Association For Athletic Training Education Research Network, Cailee E. Welch Bacon, Barton E. Anderson, Julie M. Cavallario, Bonnie Van Lunen, Lindsey E. Eberman

Rehabilitation Sciences Faculty Publications

The Athletic Training Milestones were developed as a comprehensive framework to assess athletic trainers' knowledge, skill, and behavior acquisition across the continuum of athletic training practice. However, without established content validity, it is unclear whether the Athletic Training Milestones can be used effectively as a clinical evaluation and research tool to evaluate competence and performance across multiple users and sites. We conducted a highly conservative content validity index (CVI) with data from 12 content experts. Our findings revealed an extremely high overall scale CVI of 0.99, and CVI scores of the 28 individual subcompetency items assessed ranged from 0.83 to …

The Impact Of The Covid-19 Pandemic On Special Education: A Case Study, Megan Cercone

Williams Honors College, Honors Research Projects

The purpose of this research project is to explore the possible impact of the COVID-19 pandemic on special education by evaluating the experiences of one child with disabilities who attends public schools. METHODS: A semi-structured interview was conducted with the two parents of the child, who has physical disabilities and an IEP through his school, meaning he receives special education services through intervention teachers, physical therapists, occupational therapists, and speech therapists. The interview was recorded and transcribed, and then interview transcripts were evaluated to identify themes in the subjects’ responses regarding their child’s experience with public education during the pandemic. …

A Case Study On Special Education And The Covid-19 Pandemic, Megan Cercone

Williams Honors College, Honors Research Projects

The purpose of this qualitative project is to explore the implications of online public schooling for a student with special needs, how this type of teaching impacted his individualized education plan (IEP), and investigate solutions to the consequences of the pandemic for special education. I am specifically interested in how the student's online education may have affected his progress in the physical, occupational, and speech therapy services he typically receives in school as required by his IEP. This project entails interviews of the parents and school-based occupational therapists of a child with special needs to examine the impact online schooling …